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AGAP3:小儿胰腺型腺泡细胞癌中的一种新型 BRAF 融合伙伴。

AGAP3: A novel BRAF fusion partner in pediatric pancreatic-type acinar cell carcinoma.

机构信息

Central Laboratory of Pathology, Department of Pathology and Molecular Oncology, University Hospital of Nice-Côte d'Azur University, Nice, France.

Department of Pathology, Armand Trousseau Hospital, APHP, Paris, France.

出版信息

Genes Chromosomes Cancer. 2022 Dec;61(12):734-739. doi: 10.1002/gcc.23091. Epub 2022 Aug 31.


DOI:10.1002/gcc.23091
PMID:35949061
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9804258/
Abstract

Most available molecular data on pancreatic acinar cell carcinoma (PACC) are provided by studies of adult cases. BRAF, RAF1, or RET rearrangements have been described in approximately 30% of cases. To the best of our knowledge, only seven cases with molecular data have been reported in pediatric PACC. We report here the comprehensive study of a pancreatic-type ACC from a 6-year-old patient. We detected an AGAP3::BRAF fusion. This result showing a BRAF rearrangement demonstrates a molecular link between adult and pediatric PACC. Moreover, it identifies AGAP3, a gene located at 7q36.1 that encodes a major component of the N-methyl-d-aspartate (NMDA) receptor signaling complex, as a partner gene of BRAF. The variability of BRAF partners is consistent with a driver role of BRAF alterations in PACC. The identification of such alterations is noteworthy for considering the use of MEK inhibitors in metastatic cases. We did not detect associated genomic instability. The better outcome of pediatric cases might be related to their stable genomic background.

摘要

大多数关于胰腺腺泡细胞癌(PACC)的分子数据都是通过对成人病例的研究提供的。约 30%的病例中存在 BRAF、RAF1 或 RET 重排。据我们所知,仅有 7 例儿科 PACC 有分子数据报道。我们在此报告一例来自 6 岁患者的胰腺型 ACC 的综合研究。我们检测到 AGAP3::BRAF 融合。这一 BRAF 重排的结果表明,成人和儿科 PACC 之间存在分子联系。此外,它确定了 AGAP3,一种位于 7q36.1 上的基因,编码 N-甲基-D-天冬氨酸(NMDA)受体信号复合物的主要组成部分,是 BRAF 的伙伴基因。BRAF 伙伴的变异性与 PACC 中 BRAF 改变的驱动作用一致。鉴定这种改变对于考虑在转移性病例中使用 MEK 抑制剂具有重要意义。我们没有检测到相关的基因组不稳定性。儿科病例的较好预后可能与它们稳定的基因组背景有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cab/9804258/fa59509bf826/GCC-61-734-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cab/9804258/fa59509bf826/GCC-61-734-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cab/9804258/fa59509bf826/GCC-61-734-g001.jpg

相似文献

[1]
AGAP3: A novel BRAF fusion partner in pediatric pancreatic-type acinar cell carcinoma.

Genes Chromosomes Cancer. 2022-12

[2]
Comprehensive genomic profiling of pancreatic acinar cell carcinomas identifies recurrent RAF fusions and frequent inactivation of DNA repair genes.

Cancer Discov. 2014-9-29

[3]
A FISH assay efficiently screens for BRAF gene rearrangements in pancreatic acinar-type neoplasms.

Mod Pathol. 2017-9-8

[4]
BRAF Rearrangements and BRAF V600E Mutations Are Seen in a Subset of Pancreatic Carcinomas With Acinar Differentiation.

Arch Pathol Lab Med. 2022-7-1

[5]
RAF1 rearrangements are common in pancreatic acinar cell carcinomas.

Mod Pathol. 2020-9

[6]
RET gene rearrangements occur in a subset of pancreatic acinar cell carcinomas.

Mod Pathol. 2020-4

[7]
Successful BRAF/MEK inhibition in a patient with -mutated extrapancreatic acinar cell carcinoma.

Cold Spring Harb Mol Case Stud. 2020-8

[8]
BRAF gene rearrangements can be identified by FISH studies in pancreatic acinar cell carcinoma.

Pathology. 2018-4

[9]
Near complete remission of an inoperable pancreatic acinar cell carcinoma after BRAF-/MEK-inhibitor treatment-A case report and review of the literature.

Genes Chromosomes Cancer. 2024-2

[10]
Comparative Genomic Analysis of Pancreatic Acinar Cell Carcinoma (PACC) and Pancreatic Ductal Adenocarcinoma (PDAC) Unveils New Actionable Genomic Aberrations in PACC.

Clin Cancer Res. 2023-9-1

引用本文的文献

[1]
Pediatric pancreatic acinar cell carcinoma with a non-canonical BRAF-KMT2C fusion and a classic SND1-BRAF fusion: a case report and literature review.

BMC Pediatr. 2025-1-24

[2]
Rare gene fusions in metastatic early-onset colon cancer: A case report.

Heliyon. 2024-11-28

[3]
Paediatric pancreatic acinar cell carcinoma with a novel SEC31A-BRAF fusion gene.

Virchows Arch. 2024-10

[4]
Tumor-Type Agnostic, Targeted Therapies: BRAF Inhibitors Join the Group.

Acta Med Acad. 2022-12

本文引用的文献

[1]
Pediatric (V600E)-Mutated Pancreatic Acinar Cell Carcinoma With Complete and Durable Response to Dabrafenib and Trametinib.

JCO Precis Oncol. 2020-11

[2]
Spectrum of Mutations and Gene Rearrangements in Ovarian Serous Carcinoma.

JCO Precis Oncol. 2021

[3]
Gastrointestinal stromal tumors with BRAF gene fusions. A report of two cases showing low or absent KIT expression resulting in diagnostic pitfalls.

Genes Chromosomes Cancer. 2021-12

[4]
Lung Adenocarcinoma With Primary LIMD1-BRAF Fusion Treated With MEK Inhibitor: A Case Report.

Clin Lung Cancer. 2021-11

[5]
Targetable BRAF and RAF1 Alterations in Advanced Pediatric Cancers.

Oncologist. 2021-1

[6]
Successful BRAF/MEK inhibition in a patient with -mutated extrapancreatic acinar cell carcinoma.

Cold Spring Harb Mol Case Stud. 2020-8

[7]
RAF1 rearrangements are common in pancreatic acinar cell carcinomas.

Mod Pathol. 2020-9

[8]
Diverse Gene Fusions Confer Resistance to EGFR-Targeted Therapy via Differential Modulation of BRAF Activity.

Mol Cancer Res. 2020-4

[9]
Genetic Heterogeneity of BRAF Fusion Kinases in Melanoma Affects Drug Responses.

Cell Rep. 2019-10-15

[10]
RET gene rearrangements occur in a subset of pancreatic acinar cell carcinomas.

Mod Pathol. 2020-4

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